How much rates vary
Facilitymedian $1,122 · 10th to 90th $457 to $10,000Professionalmedian $1,096 · 10th to 90th $162 to $1,622
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,288.25 Median $15,135.61 Typical High $24,547.09 | Facility | None | $1,288.25 | $15,135.61 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,071.52 | $1,288.25 | $1,288.25 |
Ambetter Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS South Carolina Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,148.15 | Professional | None | $977.24 | $1,096.48 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $794.33 Typical High $1,905.46 | Facility | None | $100.00 | $794.33 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,819.70 | Professional | None | $1,096.48 | $1,096.48 | $1,819.70 |
Medcost Setting Professional Modifier None Typical Low $1,380.38 Median $1,479.11 Typical High $2,511.89 | Professional | None | $1,380.38 | $1,479.11 | $2,511.89 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,737.80 | Facility | None | $724.44 | $724.44 | $1,737.80 |
Medcost Setting Professional Modifier None Typical Low $1,230.27 Median $1,318.26 Typical High $1,513.56 | Professional | None | $1,230.27 | $1,318.26 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $1,000.00 Typical High $1,621.81 | Professional | None | $114.82 | $1,000.00 | $1,621.81 |
United Setting Facility Modifier None Typical Low $416.87 Median $1,258.93 Typical High $8,709.64 | Facility | None | $416.87 | $1,258.93 | $8,709.64 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $1,862.09 | Professional | None | $912.01 | $1,122.02 | $1,862.09 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $891.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $758.58 | $891.25 | $891.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $660.69 Median $676.08 Typical High $776.25 | Professional | 51 · Multiple procedures | $660.69 | $676.08 | $776.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $263.03 Median $269.15 Typical High $309.03 | Professional | 80 · Assistant surgeon | $263.03 | $269.15 | $309.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $186.21 Median $190.55 Typical High $218.78 | Professional | 81 · Minimal assistant surgeon | $186.21 | $190.55 | $218.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $186.21 Median $190.55 Typical High $218.78 | Professional | 82 · Assistant surgeon, no resident | $186.21 | $190.55 | $218.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $186.21 Median $190.55 Typical High $218.78 | Professional | AS · PA/NP assist | $186.21 | $190.55 | $218.78 |
Where South Carolina sits
The same service costs 15.9 times more in Maine than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
ME $27,116MD $1,710
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.